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If substance use disorder treatment more than offsets its costs, why don't more medical centers want to provide it? A budget impact analysis in the Veterans Health Administration.
J Subst Abuse Treat 2011; 41(3):243-51JS

Abstract

Given that many studies have reported that the costs of substance use disorder (SUD) treatment are more than offset by other savings (e.g., in health care, in criminal justice, in foster care), why haven't health care system managers rushed to expand treatment? This article attempts to explain this puzzling discrepancy by analyzing 1998-2006 data from the national Veterans Affairs (VA) health care system. The main outcome measures were annual cost and utilization for VA SUD-diagnosed patients. The key independent variable was the medical centers' annual spending for SUD treatment. There was no evidence that SUD spending was associated with lower medical center costs over time within the medical center that paid for the treatment. Health care system managers may not be influenced by research suggesting that the costs of SUD treatment are more than fully offset because they bear the cost of providing treatment while the savings largely accrue to other systems.

Authors+Show Affiliations

Veterans Affairs and Stanford University Medical Centers, Palo Alto, CA, USA. knh@stanford.eduNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

21664790

Citation

Humphreys, Keith, et al. "If Substance Use Disorder Treatment More Than Offsets Its Costs, Why Don't More Medical Centers Want to Provide It? a Budget Impact Analysis in the Veterans Health Administration." Journal of Substance Abuse Treatment, vol. 41, no. 3, 2011, pp. 243-51.
Humphreys K, Wagner TH, Gage M. If substance use disorder treatment more than offsets its costs, why don't more medical centers want to provide it? A budget impact analysis in the Veterans Health Administration. J Subst Abuse Treat. 2011;41(3):243-51.
Humphreys, K., Wagner, T. H., & Gage, M. (2011). If substance use disorder treatment more than offsets its costs, why don't more medical centers want to provide it? A budget impact analysis in the Veterans Health Administration. Journal of Substance Abuse Treatment, 41(3), pp. 243-51. doi:10.1016/j.jsat.2011.04.006.
Humphreys K, Wagner TH, Gage M. If Substance Use Disorder Treatment More Than Offsets Its Costs, Why Don't More Medical Centers Want to Provide It? a Budget Impact Analysis in the Veterans Health Administration. J Subst Abuse Treat. 2011;41(3):243-51. PubMed PMID: 21664790.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - If substance use disorder treatment more than offsets its costs, why don't more medical centers want to provide it? A budget impact analysis in the Veterans Health Administration. AU - Humphreys,Keith, AU - Wagner,Todd H, AU - Gage,Mistry, Y1 - 2011/06/12/ PY - 2010/07/23/received PY - 2011/04/25/revised PY - 2011/04/27/accepted PY - 2011/6/14/entrez PY - 2011/6/15/pubmed PY - 2012/3/7/medline SP - 243 EP - 51 JF - Journal of substance abuse treatment JO - J Subst Abuse Treat VL - 41 IS - 3 N2 - Given that many studies have reported that the costs of substance use disorder (SUD) treatment are more than offset by other savings (e.g., in health care, in criminal justice, in foster care), why haven't health care system managers rushed to expand treatment? This article attempts to explain this puzzling discrepancy by analyzing 1998-2006 data from the national Veterans Affairs (VA) health care system. The main outcome measures were annual cost and utilization for VA SUD-diagnosed patients. The key independent variable was the medical centers' annual spending for SUD treatment. There was no evidence that SUD spending was associated with lower medical center costs over time within the medical center that paid for the treatment. Health care system managers may not be influenced by research suggesting that the costs of SUD treatment are more than fully offset because they bear the cost of providing treatment while the savings largely accrue to other systems. SN - 1873-6483 UR - https://www.unboundmedicine.com/medline/citation/21664790/abstract/If_substance_use_disorder_treatment_more_than_offsets_its_costs_why_don't_more_medical_centers_want_to_provide_it_A_budget_impact_analysis_in_the_Veterans_Health_Administration_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0740-5472(11)00084-5 DB - PRIME DP - Unbound Medicine ER -